Functional constipation and pelvic floor dysfunction

Ernest P. Bouras

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Constipation is variably defi ned, and its diagnosis is often arbitrary. Patients with functional constipation (FC) present with diffi cult, infrequent, or seemingly incomplete defecation without meeting criteria for irritable bowel syndrome. There are a variety of secondary causes of constipation, including medications that slow colonic transit. A functional defecation disorder secondary to pelvic fl oor dysfunction (PFD) is a common, often under - appreciated abnormality in patients presenting with constipation. While fi ber supplementation and osmotic laxatives are successful for many patients with FC, the treatment of choice for PFD is pelvic fl oor rehabilitation (biofeedback). Therefore, a stepwise diagnostic and therapeutic approach to patients with FC based on historical and physical examination features is recommended. Clinical awareness and focused testing to identify the physiologic abnormalities underlying constipation facilitate management and improve patient outcomes.

Original languageEnglish (US)
Title of host publicationPractical Gastroenterology and Hepatology
Subtitle of host publicationSmall and Large Intestine and Pancreas
Number of pages9
ISBN (Electronic)9781444328417
ISBN (Print)9781405182744
StatePublished - Aug 31 2010

ASJC Scopus subject areas

  • Medicine(all)


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